Healthcare Provider Details

I. General information

NPI: 1326336827
Provider Name (Legal Business Name): JOHN C WEST DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/18/2011
Last Update Date: 06/14/2026
Certification Date: 06/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2040 E BROWN RD
MESA AZ
85213-5222
US

IV. Provider business mailing address

2040 E BROWN RD
MESA AZ
85213-5222
US

V. Phone/Fax

Practice location:
  • Phone: 480-275-5099
  • Fax:
Mailing address:
  • Phone: 480-275-5099
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberD007997
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number2011010373
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: